Information Form - Summer 2019
Welcome to Mudrats Water Polo (MWP):

Please complete the following Information Form so that we can keep you apprised of upcoming Events and Practice schedules. To complete your registration, athletes must register for practices at Competition Events and/or Practice locations may be announced as Athlete interests grows.
Email address *
Athlete First Name *
Last Name *
Address, City, Zip
Parents contact phone *
Athletes phone
Athletes Birthdate *
Athlete Email
Gender *
T-Shirt Size *
Current Grade School & School District
Future High School
Athletes Grade this Fall *
Emergency Contacts (Name & Phone)
Athlete Medical Issues
Parent Volunteer?
Submit Other Parent/Athlete Program Questions?
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